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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures appear stable and intact. No free air below the right hemidiaphragm seen.
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Right-sided chest tube is unchanged in position. A very small right apical pneumothorax is now visible. Diffuse subcutaneous emphysema and mild pneumomediastinum are unchanged. Cardiac silhouette remains enlarged and is accompanied by increasing pulmonary vascular congestion accompanied by mild perihilar edema. More confluent opacities at the bases could reflect dependent edema, but differential diagnosis includes aspiration, atelectasis, and evolving infection.
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The focal opacities over the left mid lung visualized on <unk> are mildly improved. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. The cardiac, hilar, and mediastinal contours are within normal limits.
chronic lung disease with radiation fibrosis, presenting with acute cough and chills.
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The patient is status post sternotomy and probably coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear within normal limits. Scarring at the right lung apex appears unchanged. There is no pleural effusion or pneumothorax.
nausea, vomiting and cough.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. There is mild wedging of multiple lower thoracic vertebral bodies but no evidence of an acute fracture.
anterior iliacus, evaluation for lymphadenopathy and interstitial disease.
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Pa and lateral views of the chest are provided. There is residual subcutaneous emphysema along the left lateral chest wall, which is improved from prior exam. There is bibasilar opacity which likely represents a combination of atelectasis and effusion, overall increased from prior exam. The heart remains mildly enlarged. The mediastinal contour is unchanged. There is no pneumothorax. Retrocardiac density could also represent a hiatal hernia. The bony structures are intact.
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures are intact.
<unk>-year-old with lethargy, rule out pneumonia.
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As compared to the previous radiograph, the pre-existing pulmonary edema has slightly worsened. The lung volumes have decreased and a new right pleural effusion might have developed. The size of the cardiac silhouette remains enlarged. At the time of dictation and observation, the referring physician, <unk>. <unk>, was paged for notification at <time> a.m., on the <unk>.
hypoxemia.
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The tip of the right-sided port-a-cath is ill-defined but likely ends in the distal svc, unchanged. Interval decreased aeration of the lungs with persistent low lung volumes. Post left upper lobectomy changes in the left upper hemithorax are expected and unchanged. Aeration of the remaining left lung is reduced. Asymmetric opacification of the lower lung may reflect a combination of atelectasis or small left pleural effusion, or may be projectional. Heart size cannot be adequately assessed as the borders are not well-defined on the left, although is probably a normal, similar to the prior exam. No overt pulmonary edema or pneumothorax.
<unk> year old woman with history of left upper lobectomy and copd presenting with worsening dyspnea, hypoxia, and cough; evaluate for new consolidation or etiology of clinical decompensation.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There has been interval removal of the left picc. The soft tissues are not well evaluated, but no gross abnormality or subcutaneous air is identified.
swelling and redness of the chest. evaluate for infection.
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Pa and lateral view of the chest shows normal lung volume without consolidation or nodules. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Heart size is top normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Minimal patchy atelectasis in the lung bases is likely atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion, or pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>m with elevated total bilirubin unknown cause concerning for infectious process
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This radiograph demonstrates markedly improved aeration compared to the study from <num> hr previously. While the right hemidiaphragm continues to be elevated, there is improved aeration in the retrocardiac region with only minimal volume loss in the left lower lobe. There is a new small area of atelectasis/ infiltrate in the right mid lung laterally.
<unk> year old woman with fevers afib rvr, unclear source, new l pleural effusion // ? lll infiltrate
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The heart is moderately enlarged and is slightly larger than on the prior exam. There is mild pulmonary vascular redistribution with increased interstitial markings likely representing an element of fluid overload. There is no focal infiltrate.
<unk> year old woman with brain lesion plan for tumor resection on <unk>. // <unk> year old woman with brain lesion plan for tumor resection on <unk>. surg: <unk> (tumor resection )
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As compared to the previous examination, the right pleural drain has been removed. The pre-existing right pleural effusion has moderately increased in extent. It now occupies approximately half of the right hemithorax. Subsequent areas of atelectasis at the right lung base have also increased. The ventilated apical areas of the right lung as well as the left lung are unchanged. Unchanged alignment of sternal wires and position of the pacemaker wires. Mild cardiomegaly and tortuosity of the thoracic aorta.
evaluation for pleural effusion.
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Lung volumes are low, accentuating the pulmonary vasculature. The presence of interstitial edema, focal consolidation or aspiration is difficult to discern given the low lung volumes and prominent soft tissue. There is at least some atelectasis at the left base. Size of the cardiac silhouette is enlarged by low lung volume.
<unk>-year-old woman with unresponsiveness and seizure after fall.
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Frontal and lateral views of the chest demonstrate the patient is status post median sternotomy. Heart size is enlarged within prominent central vasculature and cephalization consistent with vascular congestion. There is flattening of the left hemidiaphragm, stable in appearance since prior examinations. No focal opacity is identified.
<unk>-year-old female with cough for past <num> months.
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Moderate cardiomegaly is re- demonstrated. Mediastinal contours are stable, with the calcified and tortuous thoracic aorta again noted. There is mild pulmonary vascular congestion, with no pleural effusion, focal consolidation or pneumothorax demonstrated. Minimal atelectatic changes are also likely seen at the lung bases. Fusion hardware within the cervical spine and right shoulder arthroplasty are partially imaged. There are no acute osseous abnormalities demonstrated.
fever.
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The cardiomediastinal and hilar contours are within normal limits. There is tortuosity of the descending aorta. There is calcification of the aortic knob. The lungs are well expanded. There are areas of mild linear atelectasis at the right lung base. Otherwise, there is no focal consolidation, pleural effusion or pneumothorax. Surgical clips are seen in the right upper quadrant.
chest pain, status post ptca. evaluate aortic contour.
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Ap portable upright view of the chest. Increased opacity at the left lung base is concerning for atelectasis and effusion. The right lung appears grossly clear. Heart size is within normal limits. Mediastinal contour is unremarkable. No free air seen below the right hemidiaphragm.
<unk>m with hypoxia // ? fluid
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Ap single view of the chest has been obtained with patient in semi-upright position. There is status post sternotomy and the presence of multiple surgical clips in the left mediastinal structures are indicative of previous bypass surgery. A permanent pacer is identified in left anterior axillary position seen to be connected to two intracavitary electrodes with termination points compatible with right atrial appendage and apical portion of right ventricle correspondingly. There is mild cardiac enlargement but no evidence of pulmonary vascular congestion is seen and the lateral pleural sinuses are free from any fluid accumulation. No evidence of pneumothorax in the apical area.
<unk>-year-old female patient status post dual-chamber permanent pacemaker placement on <unk> via left subclavian approach. evaluate for pneumothorax.
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Low lung volumes. There is a picc with tip terminating in the mid svc. There is stable enlargement of the cardiac silhouette. The hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There is a pigtail catheter with the tip curled in the right upper abdomen.
<unk> year old man s/p incomplete whipple with rising wbc // lung infiltrate?
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Blunting of the lateral and posterior costophrenic angles suggests small pleural effusions. The lungs are clear of consolidation or overt pulmonary edema. The cardiomediastinal silhouette is within normal limits for technique. Median sternotomy wires and mediastinal clips are again noted. Irregular contour of the ribs on the right suggests prior healed fractures. There is also an old right mid clavicular fracture.
<unk>f with hypertension, cough and shortness of breath // evidence of infiltrate
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Ap upright and lateral views of the chest provided. A left chest wall pacer device is again seen with single lead extending into the region of the right ventricle. The previously noted right ij central venous catheter has been removed. The lungs appear clear without focal consolidation, effusion, or pneumothorax. No signs of chf. Cardiomediastinal silhouette is normal. Bony structures are intact. Degenerative changes in the t-spine are again noted.
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The endotracheal tube is appropriately positioned. Allowing for differences in technique and lower lung volumes, cardiomediastinal silhouette stable. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old man with possible drug overdose, on vent, concern over aspiration d/t vomiting yesterday and now breathing <unk> above vent // has he aspirated?
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As compared to the previous radiograph, there is no relevant change. Minimal atelectasis at the right lung base. Moderate cardiomegaly without overt pulmonary edema. Aortic valve replacement, the sternal wires are in unchanged alignment. Known left humeral changes. No pulmonary edema. No pleural effusions.
status post redo mitral valve replacement, evaluation for pneumonia.
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Ng tube tip terminates at the gastric cardia with sidehole at or above the level of the gastroesophageal junction and needs advancement to at least <num> cm. Bilateral moderate-sized pleural effusions with compressive bibasal atelectasis, and moderate cardiomegaly are unchanged. Pulmonary edema has improved. Right upper extremity picc terminates in the mid svc.
<unk>-year-old woman status post fall with head bleed with recent ng tube placement.
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As compared to the previous radiograph, the patient has undergone right upper lobectomy. A chest tube is in situ. There is a small right apical pneumothorax but no evidence of tension. Otherwise normal post-surgical appearance. In the left lung, mild cardiomegaly but no evidence of pulmonary edema. No focal parenchymal opacity suggesting pneumonia.
right upper lobectomy, evaluation of lung expansion.
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A bedside ap radiograph of the chest demonstrates persistently low lung volumes with interval worsening of interstitial pulmonary edema, cardiomegaly, and mediastinal vascular engorgement. Bibasilar atelectasis is stable. There is no pneumothorax, nor pleural effusion. The right hemodialysis catheter and internal jugular central venous line terminate in the lower portion of the svc.
evaluate for interval change in patient with respiratory failure.
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The cardiac, mediastinal and hilar contours appear stable. Asymmetric heterogeneous opacification suggests multifocal pneumonia in the right lung. Right mid lung opacities are vague but somewhat rounded so septic nodules are possible this may perhaps be explained primarily by pneumonia. There is also a fairly well defined right infrahilar opacity suggesting pneumonia with air bronchograms. In addition, although more diffuse vague bilateral opacification may also be due to infection, coinciding pulmonary edema is suspected. There are probably small pleural effusions.
shortness of breath and tachycardia. positive blood cultures and known mitral valve prolapse.
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No previous images. There is some hyperexpansion of the lungs with enlargement of the cardiac silhouette. Prominence of pulmonary markings could reflect elevated pulmonary venous pressure, chronic lung disease, or both. There is mild asymmetry at the base with increased opacification on the right. This could merely reflect some asymmetric edema. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
cough with sputum.
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New right basal opacity has appeared, which may represent aspiration. Lateral view does not show the opacity. No pleural effusion, pulmonary congestion or pneumothorax is seen. The heart and mediastinal contours are normal. The right subclavian picc line ends at the mid svc and is in stable position.
<unk>-year-old man with history of dysphagia and silent aspiration with leukocytosis. evaluate for aspiration pneumonitis.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study <unk> <unk>. Status post sternotomy and evidence of both aortic and mitral valve replacements appear unchanged. Heart has not increased in size and the pulmonary vasculature is not congested. Pleural scars with mild elevation of left-sided diaphragm, unchanged. No evidence of pulmonary congestion or acute infiltrates. Comparison is extended to the preoperative chest examination of <unk> and there is no evidence of any significant postoperative change with regard to heart size, pulmonary congestion and pleural scars.
<unk>-year-old male patient with history of pulmonary edema and loculated pleural effusion. followup examination. evaluate for persistent changes.
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Et tube ends <num> cm above the carina. Right-sided swan-ganz is in right interlobular artery and should not be advanced further. For safe positioning, it could be pulled back <num>-<num> cm. Intra-aortic balloon pump ends <num> cm below the aortic knob, which is adequate. Bibasilar consolidations, left more than right, is unchanged with probable small left pleural effusion. There is no pneumothorax.
patient with cardiogenic shock, intra-aortic balloon pump.
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The patient is status post coronary artery bypass graft surgery. A dual-lead pacemaker/icd device with three leads appears unchanged. The heart is moderately enlarged. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the thoracic spine.
scrotal swelling.
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The cardiomediastinal and hilar contours are within normal limits. Note is made of free air in the right upper quadrant, below the diaphragm. There is minimal left midlung opacity in the region of prior consolidation, likely related to scarring. No new focal consolidation or large pleural effusion is seen. Note is made of a coronary stent.
vomiting. rule out free air.
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Lung volumes are low. This limits assessment of the lung bases where there are mild bibasilar streaky opacities. The heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion, focal consolidation, pleural effusion or pneumothorax. There are no acute osseous abnormalities visualized.
rollover motor vehicle collision with chest injury.
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Low inspiratory volumes. Allowing for this, the heart is not enlarged. Mild prominence of the mediastinum could reflect low inspiratory volumes. There is some patchy opacity at both lung bases. While this could reflect atelectasis, the appearance is more suggestive of pneumonic infiltrates or areas of aspiration. No chf, effusion, or pneumothorax is detected. No free air identified beneath the diaphragms.
<unk> year old woman w/ complicated diverticulitis s/p ir drainage of abscess, with persistent abdominal pain and high narcotic usage // please perform upright cxr to r/o free air
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In comparison with the earlier study of this date, the right pigtail catheter has been removed. There is a small amount of loculated gas in the apical region on the right. Substantial collection of pleural fluid on this side persists.
vats pleurodesis with pigtail removal, to assess for pneumothorax.
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Mild pulmonary edema has improved. Small bilateral pleural effusions are unchanged. Cardiomegaly is stable. There is no pneumothorax. .
<unk> year old woman with chf, new o<num> req; edema? effusion?
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The lungs are clear without focal consolidation, effusion, or edema. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits. Posterior spinal fixation hardware seen throughout the thoracic spine.
<unk>f with l sided scap pain // acute process, ptx
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As compared to the previous radiograph, the nasogastric tube has been removed. The chest radiograph is normal. There is no evidence of aspiration or pneumonia. Normal size of the cardiac silhouette. No pleural effusions.
fever, evaluation for aspiration.
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Cardiomediastinal contours are normal. Small right apical pneumothorax is stable. The left lung is clear. Small right effusion, pleural thickening and adjacent minimal atelectasis have improved. The osseous structures are unremarkable
<unk> year old woman with recurrent r pneumothrax now s/p r thoracotomy with adhesiolysis, blebectomy x<num> and pleurodesis // interval evaluation of pneumothorax recurrence
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Compared to prior, right-sided central venous line has been removed. Lung volumes are low with no focal consolidation seen. There is elevation of the right hemidiaphragm. The cardiomediastinal silhouette is unchanged. There is no pneumothorax. No large intraperitoneal free air is seen. A density projecting over the right hemithorax is likely outside the patient.
<unk> year old man with sob, decreased sats .
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Ap view of the chest provided. Compared to prior study, the endotracheal tube is now in good position with re-expansion of the left lower lung lobe. Plate-like atelectasis is noted in the left upper lung. There is no new focal consolidation. Enteric tube and right-sided picc lines are in positions. Multiple left-sided rib fractures are again seen
<unk> year old woman status post stemi, intubated. rising wbc.
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The heart is mildly enlarged. The aorta is mildly tortuous and partly calcified, particularly along the arch. There is a patchy right hilar opacity including an infrahilar component. There is also background increased interstitial markings in the right lung compared to the left side. There is no definite pleural effusion or pneumothorax. The right major fissure appears slightly thickened, however. Projecting over the right lower lung is an oval nodule, although suspected to reflect a nipple shadow. The bones appear demineralized including a mild biconcave compression deformity along the lower thoracic vertebral body as well as a mild-to-moderate superior endplate compression deformity of the lower thoracic vertebral body with a concave shape. The chronicity of these is uncertain, but they are not necessarily recent or acute. Background bony demineralization is noted without clear focal lesions. Patchy vascular calcifications project over the epigastric region.
hypoxia and fever. patient on chemotherapy for multiple myeloma.
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Lung volumes are slightly low, similar to the prior exam, perhaps secondary to lack of inspiratory effort. No focal consolidation suggest pneumonia. No edema, pleural effusion, or pneumothorax. No change in the appearance of the cardiomediastinal silhouette and hila. Elevation of the right hemidiaphragm is unchanged.
<unk> year old woman with worsening shortness of breath and productive cough x <num> weeks. evaluate for evidence of pnuemonia or pulmonary edema.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pneumothorax or pleural effusion. There is a central venous catheter with the tip ending in the mid svc. Cardiomediastinal silhouette is unremarkable. There are old left rib fractures.
<unk>-year-old woman with shortness of breath, cough x<num> weeks, receiving chemo.
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Ap single view of the chest shows interval increase of bilateral opacity due to a combination of pleural effusion and consolidation. The cardiac silhouette is obscured by diffuse consolidation. There is no pneumothorax. Ng and et tube are unchanged.
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Minimal left base atelectasis is seen without definite focal consolidation. There is no pleural effusion or pneumothorax. There is mild prominence of the pulmonary vasculature suggesting mild interstitial edema. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is seen.
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Frontal and lateral views of the chest. Prior left picc is no longer visualized. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath and fever.
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As compared to the previous radiograph, the lung volumes have decreased. The patient has a nasogastric tube with the tip projecting over the middle parts of the stomach. Status post cabg. Moderate cardiomegaly with tortuosity of the thoracic aorta. Perihilar haze bilaterally could indicate minimal fluid overload. Mild atelectasis at the right lung base.
abdominal pain, exploratory laparotomy. evaluation.
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The lung volumes are normal. Borderline size of the cardiac silhouette without pulmonary edema. The patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. No complications, notably no pneumothorax. No pleural effusions, no pneumonia.
new nasogastric tube, confirm placement.
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pneumothorax. Partially imaged upper abdomen is unremarkable.
patient with chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. <unk> rods are again noted in the thoracic spine with a new component involving the upper t-spine. No free air below the right hemidiaphragm is seen.
history: <unk>m with need for psychiatric*** warning *** multiple patients with same last name! // ?pna
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In comparison with the earlier study of this date, there is some apical capping on the right that has developed. The mediastinal contours are not enlarged from the previous study. Monitoring and support devices remain in place. Opacification at the right base is consistent with atelectasis and small effusion.
cabg with postoperative bleeding.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // pna?
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Left-sided aicd device is noted with single lead terminating in the right ventricle. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is identified. Pulmonary vasculature is normal. No acute osseous abnormality is present.
history: <unk>f with chest pain, shortness breath
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is seen.
dyspnea on exertion, tia symptoms.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. There are no acute fractures.
fever.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old male with left-sided chest pain.
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A left picc terminates in the low svc, unchanged from the prior radiograph. An enteric tube courses below the diaphragm with the tip out of the field of view. Of note, the side port is at the level of the diaphragm, unchanged from the prior exam. There is been a slight interval increase in left basilar atelectasis. There is no pulmonary edema, pleural effusion, or pneumothorax. The heart is mildly enlarged.
assess position of left picc.
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Single portable ap chest radiograph was obtained. Low lung volumes accentuate interstitial markings and the pulmonary vasculature. Despite these limitations, the lungs are clear. No nodule, consolidation, effusion, or pneumothorax is present. The heart and mediastinal contours are normal.
cough, fever.
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The lungs are symmetrically well expanded and well aerated without focal airspace opacity, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. Note is again made of dense calcifications at the aortic knob. There are multiple healed right-sided rib fractures and an old right distal clavicular fracture deformity.
<unk>-year-old man with history of melanoma, here to evaluate for intrapulmonary metastasis.
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In comparison with the study of <unk>, the endotracheal tube appears to have been removed. There is continued enlargement of the cardiac silhouette with tortuosity of the aorta and evidence of elevated pulmonary venous pressure. Single-lead aicd/pacemaker again is in place, though the tip of the lead passes below the lower level of the image.
respiratory failure, for et tube position.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with fever, confusion //
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Pa and lateral views of the chest provided. There is no free air below the right hemidiaphragm. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with cough, severe right upper quadrant pain, peritoneal signs
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Compared to the prior exam there is no significant interval change. The area of questionable opacity in the right lower lobe is better aerated on today's study
<unk> year old man with renal failure // interval change?
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Support lines and tubes are unchanged in appearance when compared to the prior study. A vascular stent is seen in the right axilla with numerous surgical clips. There is unchanged widening of the mediastinum. No consolidation, pneumothorax or pleural effusion appreciated.
<unk> year old woman with pulmonary emboli, now on va ecmo for support. // evaluate position of lines and support devices, and for changes in mediastinal shape / size and possible pulmonary changes.
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Left-sided picc is seen, terminating in the low svc. Subtle patchy opacities in the lateral right lung base and lateral right upper lung are nonspecific but new since prior and could be related to infection. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever, on chemotherapy // presence of infiltrate
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As compared to the previous radiograph, the patient has received a spinal stabilization device. The clips after surgery are in expected position. No relevant changes as compared to the preoperative image with the exception of a retrocardiac atelectasis. No pneumothorax.
spinal surgery, source of fever.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with palps and sob. // sob
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Portable ap chest radiograph demonstrates mild cardiomegaly, pulmonary vascular congestion, and interstitial edema. However, the right upper lobe is disproportionately consolidated suggestive of pneumonia. There was a smaller consolidation in the same lobe in <unk>, so either the pneumonia is recurrent or the abnormality is the 'pneumonia' form of bronchioloalveolar cell lung cancer. Another alterhative is asymmetric edema if patient has marked mitral regurgitation. Probable small left pleural effusion. There is no pneumothorax. Moderate hiatus hernia is chronic.
shortness of breath and history of chf.
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The lungs are clear. There is no focal consolidation, edema or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips seen in the right upper quadrant suggesting prior cholecystectomy.
<unk>m with r facial droop, rue/rle weakness on <unk> // eval for consolidation
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The heart is normal in size. There is mild unfolding of the upper thoracic aorta. The mediastinal and hilar contours appear unchanged. There are streaky band-like opacities in the medial right lower and in the right upper lung, most compatible with mild atelectasis, while a more generalized interstitial abnormality has resolved. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
weakness and orthostasis.
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A subtle opacity in the left mid lung zone is likely due to superimposed chest wall structures and normal vessels. The lungs are otherwise clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The previously identified right rib fractures are not well visualized on today's exam.
cough and sputum production. evaluate for pneumonia.
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Pa and lateral views of the chest. There is cardiac enlargement and bilateral pulmonary artery enlargement consistent with pulmonary hypertension. No pleural effusion or pneumothorax. No areas concerning for consolidation. There is no pulmonary edema.
shortness of breath.
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There is mild tortuosity of the descending aorta. The cardiomediastinal and hilar contours are otherwise within normal limits. There is no pleural effusion, pneumothorax or focal consolidation.
coronary artery disease and increasingly frequent chest pain. rule out pneumonia or edema.
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Pa and lateral chest radiographs. Pleurx catheter is in stable position in the left medial pleural space. Again noted is a left upper lobe mass consistent with known malignancy. Left mid and lower lobe consolidations are unchanged. There is no pleural effusion or pneumothorax. The heart size is normal.
lung cancer with pleurx catheter in place. evaluation for interval change.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with left-sided chest pain. evaluate for evidence of pneumothorax.
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Calcified right breast implant overlies the right lower hemi thorax. Left base atelectasis/ scarring is seen.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mild to moderately enlarged with a left ventricular configuration. The aorta is tortuous. Prominence of the ascending aorta is seen ; underlying dilatation of the ascending aorta is not excluded. No pulmonary edema is seen. Kyphoplasty/vertebroplasty in the mid thoracic spine.
history: <unk>f with head bleed. // pneumonia?
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Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural contours are normal in appearance. There is no evidence of pleural effusion, pulmonary edema or pneumothorax.
chest pain and palpitations. evaluation for acute process.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear. There is no large pleural effusion or pneumothorax. There is no subdiaphragmatic free air.
<unk>-year-old female with abdominal pain.
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As compared to prior chest radiograph from <unk>, there is a persistent small right apical pneumothorax. Two right chest tubes are in unchanged position. Opacities in the right apex are likely related to scarring and post-operative changes. There is atelectasis at the right lung base. Left lung is unchanged in appearance with extensive bullous disease in the upper and mid lung portions and atelectasis at the lung base. The cardiomediastinal silhouette is unchanged.
<unk>-year-old male patient with right vats bullectomy. study requested for evaluation of interval change.
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The heart size is normal. The hilar and mediastinal contours are unchanged since <unk>. There is new central pulmonary vascular congestion, with minimal edema. There is no focal consolidation, pleural effusion, or pneumothorax.
shortness of breath.
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Ap portable upright chest radiograph provided. Multiple overlying ekg leads somewhat limit the evaluation. There is a large retrocardiac opacity with an air-fluid level again seen compatible with hiatal hernia. The lungs are clear. No signs of edema or pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact.
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Trauma board and other overlying material limits evaluation of fine bony detail. The lungs are low in volume but otherwise clear without focal consolidation, pleural effusion or pneumothorax. The heart is normal in size, normal cardiomediastinal silhouette. No definite fractures are seen.
<unk>-year-old status post motor vehicle collision, assess for acute process.
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Cardiomegaly has increased from the prior exam, now appearing moderately enlarged. There is mild upper zone vascular redistribution and prominence of the central mediastinal veins suggestive of mildly elevated central venous pressures. Small bilateral pleural effusions, larger on the right, are present along with bibasilar airspace opacities likely reflective of atelectasis. No pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. There is mild thickening along the azygos fissure. Lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. Streaky opacity in the left lung base likely reflects atelectasis. No acute osseous abnormality is detected. Partially imaged is cervical spinal fusion hardware.
history: <unk>f with shortness of breath
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Portable frontal radiograph of the chest demonstrates et tube, ng tube and right internal jugular central venous catheter in unchanged position. The pigtail catheter and left basilar chest tube are also unchanged. There is stable appearance of the left pleural opacity with poor aeration of the left lower lobe as well as the left lower lobe bronchus which may be obstructed. Lung volumes are lower with crowding of the bronchovascular markings which could just be related to low lung volumes versus mild edema. No large right pleural effusion or pneumothorax.
intubated with empyema, evaluate for interval change.
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Pa and lateral views of the chest provided. Tiny clips project over the left lung base. Suture material is noted projecting over the medial right lung apex. The heart appears prominent though likely in part reflecting a pectus excavatum deformity. No focal consolidation, large effusion or pneumothorax is seen. The aorta appears slightly unfolded. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with abd pain found to have new panc mass, liver mets; also with shortness of breath
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Pa and lateral views of the chest demonstrate the lungs are well expanded. A tubular structure in the anterior segment of the left lower lobe is likely due to mucoid impaction. The cardiomediastinal silhouette is unremarkable. There is no evidence of pulmonary edema comparable effusion, pneumothorax or focal consolidation concerning for pneumonia.
<unk>-year-old male with chest pain. evaluation for acute process.
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Ap upright and lateral views of the chest provided. Mild plate like left mid lung atelectasis noted. Otherwise the lungs are clear. No pleural effusion or pneumothorax. No signs of congestion or edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Degenerative disease at the shoulders noted bilaterally, left greater than right, partially visualized. No free air below the right hemidiaphragm is seen.
<unk> year old woman with ams // acute process
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Clear lungs bilaterally without pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are normal. No bony abnormality.
female with severe cough, assess for pneumonia.
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Interval re-expansion of left lower lobe, with minimal residual atelectasis, and possible trace pleural effusion. Stable elevation left hemidiaphragm. Normal heart size, pulmonary vascularity. Right lung is clear. No pneumothorax.
<unk> year old woman with tbm s/p bronch for lll collapse // interval improvmenet in lll collapse?
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Assessment is slightly limited by patient rotation. Cardiac silhouette size appears within normal limits. Mediastinal and hilar contours are grossly unremarkable. Lungs are hyperinflated with attenuation of pulmonary vascular markings towards the apices likely reflective of underlying emphysema. Streaky opacities in the lung bases may reflect areas of atelectasis. No focal consolidation, large pleural effusion, or pneumothorax is identified. No acute osseous abnormality is demonstrated.
history: <unk>f with copd, here with large hematoma, some tachypnea
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In comparison with study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
allergic rhinitis with productive cough and fever.
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There is a new consolidative right upper lobe opacity containing air bronchograms, abutting the superior margin of the major fissure, compatible with infection. The remainder of the lungs are otherwise clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
cough and fever for the past week. evaluate for infection.
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An et tube is present, tip approximately <num> cm above the carina. A left subclavian central line is present, tip over distal svc. No pneumothorax is detected. Cardiomediastinal silhouette is unchanged although it appears slightly prominent this may be accentuated by technique and positioning. There is minimal atelectasis at both bases, slightly more pronounced. No frank consolidation or effusion is identified. No chf.
<unk> year old man with head trauma, intubated // ? pna